H3S Registration Form
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First Name
*
Last Name
*
Email
*
Phone
*
Youth Information
Please list each child’s name
First Name
*
Last Name
*
Date of Birth (DoB)
*
Postal Code
*
Gender
Gender
Male
Female
Other
Grade
*
Grade K
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Birth Size Coat
School
*
Lab Coat Size
Thank you for selecting H3S Academy to support your child’s exploration of STEM-related activities. H3S Academy may periodically use images, including but not limited to videos and photographs, to promote and advertise the organization and its programs. By completing your registration, you grant H3S Academy permission to use images of your child or relative for marketing and promotional purposes related to our programs. If you do not wish to grant this consent, please notify H3S Academy in writing (
[email protected]
) prior to the start of any activities. By submitting this form, you confirm your understanding and acceptance of this waiver and consent.
Submit